探索患者教育交付的学习过程:在住院临床教育中对物理治疗学生的定性研究
Grant D Bitzer1, Shelby D Vaughn2
1Physical Therapy Division, Duke University School of Medicine, 311 Trent Drive, Durham, NC, 27710, USA. Grant.bitzer@duke.edu.
Advances in health sciences education : theory and practice
|September 17, 2025
概括
学生物理治疗师 (SPT) 通过真实的临床经验获得患者教育技能. 在综合临床教育 (ICE) 中进行结构化的反思和实践对于发展有效的沟通和对物理治疗的信心至关重要.
科学领域:
- 物理治疗教育教育 物理治疗教育
- 经验式学习理论经验式学习理论
- 医疗保健通讯 医疗保健通讯
背景情况:
- 有效的患者教育对于健康结果至关重要,但经常受到物理治疗师和学生物理治疗师 (SPT) 低自我效率的阻碍.
- 目前的培训主要是在模拟环境中进行的,SPT在实际临床实践中如何培养患者教育技能的理解有限.
- 经验式学习被认为可以增强沟通和信心,但其在现实世界物理治疗教育中的应用需要进一步研究.
研究的目的:
- 探索SPT在住院综合临床教育 (ICE) 环境中的患者教育中的体验式学习周期.
- 了解SPT如何描述在真实临床互动期间发展患者教育技能的过程.
- 确定影响SPT开发和应用患者教育策略的因素.
主要方法:
- 采用了定性案例研究方法,以科尔布的体验式学习理论和建设主义研究范式为指导.
- 通过直接观察,半结构面试和对九名物理治疗博士 (DPT) 二年级学生进行定性调查来收集数据.
- 用科尔布学习周期的阶段作为框架进行了演性的专题分析.
主要成果:
- SPT遇到了不同患者教育场景,受临床背景和患者复杂性的影响.
- 对患者教育经验的反思机会不一致,经常缺乏正式结构.
- 学生产生了新的教育策略,包括沟通调整,物质利用和家庭参与.
- 新开发的教育策略的应用因临床环境和临床教育工作者提供的支持而有所不同.
结论:
- 在实时临床患者教育过程中,SPTs通过体验式学习循环进步.
- 综合临床教育 (ICE) 课程应包含结构化的反思和有目的的实践,以优化学生在患者教育中的发展.
- 课程设计的改进可以提高SPT准备,促进物理治疗实践中的有效和以患者为中心的沟通.
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